KELLY JEAN TEACHOUT CSAC NPI 1487959912

NPI Information

NPI: 1487959912
Provider Name: KELLY JEAN TEACHOUT, CSAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
313 4TH ST S
LA CROSSE, WI
ZIP 54601
Phone: (608) 782-7300
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Kelly Jean Teachout, CSAC is an addiction (substance use disorder) counselor in La Crosse, WI. Kelly Jean Teachout, CSAC NPI is 1487959912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

313 4TH ST S
LA CROSSE, WI
ZIP 54601-047
Phone: (608) 782-7300

The enumeration date for this NPI number is 1/13/2011 and was last updated on 6/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	8187	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	15541-132	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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